Organization Active NPI

Cypress Oral and Maxillofacial Surgery, PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Cypress, TX
National Provider Identifier
1790047702
Registry record updated Jun 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
24787 Issued in TX
Legal business name
CYPRESS ORAL AND MAXILLOFACIAL SURGERY, PA
Practice address
26321 Northwest Fwy
Suite 700
Cypress, TX 77429-5758
Phone
(281) 256-8400
Fax
(281) 256-8412
NPI assigned
Jun 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amanda Navarro
Title
Manager
Phone
(832) 689-6311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 24787 TX Primary

Addresses

Primary practice location

26321 Northwest Fwy
Suite 700
Cypress, TX 77429-5758

Mailing address

26321 Northwest Fwy
Suite 700
Cypress, TX 77429-5758
Phone (281) 256-8400

National Provider Directory

National Provider Directory

Locations

26321 Northwest Fwy
Ste 700
Cypress, TX 77429
Phone (281) 256-8400

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339632000000",
    "number": "1790047702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26321 NORTHWEST FWY",
            "address_2": "SUITE 700",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774295758",
            "telephone_number": "281-256-8400",
            "fax_number": "281-256-8412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26321 NORTHWEST FWY",
            "address_2": "SUITE 700",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774295758",
            "telephone_number": "281-256-8400",
            "fax_number": "281-256-8412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYPRESS ORAL AND MAXILLOFACIAL SURGERY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-14",
        "last_updated": "2012-06-14",
        "status": "A",
        "authorized_official_last_name": "NAVARRO",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "832-689-6311"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "24787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.